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Standard Reaming Versus Reaming/Irrigating/Aspirating for Intramedullary Nailing of Femoral Shaft Fractures

Standard Reaming Versus Reaming/Irrigating/Aspirating for Intramedullary Nailing of Femoral Shaft Fractures

Status
Completed
Phases
NA
Study type
Interventional
Source
ClinicalTrials.gov
Registry ID
NCT00534326
Acronym
STAFF
Enrollment
158
Registered
2007-09-24
Start date
2006-12-31
Completion date
2018-12-30
Last updated
2020-03-10

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Femoral Fractures

Brief summary

Reaming (enlarging of the bone canal) is commonly performed prior to the insertion of intramedullary nails for the fixation of long bone fractures. This study is designed to compare the union rates between fractures reamed by standard reaming versus reaming with a Reamer/Irrigator/ Aspirator (RIA). In addition, this study will collect patient-based outcomes on these patients. Little information exists on the patient based outcomes following femur fractures. We hope that the patient based outcomes of this study will also be able to aid physicians in advising patients with femur fractures of their possible outcomes.

Interventions

PROCEDUREStandard Reaming

Femoral reaming using standard reaming techniques of multiple reamers

PROCEDUREReaming/Irrigating/Aspirating

Reaming using the Reamer/Irrigator/Aspirating

Sponsors

University of Missouri-Columbia
CollaboratorOTHER
Prisma Health-Upstate
Lead SponsorOTHER

Study design

Allocation
RANDOMIZED
Intervention model
PARALLEL
Primary purpose
TREATMENT
Masking
SINGLE (Subject)

Eligibility

Sex/Gender
ALL
Age
18 Years to 85 Years
Healthy volunteers
No

Inclusion criteria

1. Men or women between the ages of 18 years and 85 years; 2. Acute fractures of the femoral shaft

Exclusion criteria

1. Fractures not amenable to intramedullary nailing and deemed by the treating surgeon; 2. Pathological fractures; 3. Open fractures; 4. Patients with additional injuries to the ipsilateral femur; 5. Surgical delay of greater than 7 days from the time of injury; 6. Retained hardware in the affected limb; 7. Previous infection in fractured limb; 8. Likely problems in the judgment of the investigators with maintaining follow-up; 9. Patients with severe cognitive injuries or disabilities will be excluded if it is deemed that they will be unable to complete the study questionnaires; 10. Hopeless diagnosis; 11. Medical comorbidities that prohibit the conductance of surgical treatment under a general anesthetic; 12. Fractures requiring cephalomedullary nails

Design outcomes

Primary

MeasureTime frame
Fracture Healing3 months, 6 months, 1 year, 2 years

Secondary

MeasureTime frame
Patient Based Quality of LifeBaseline, 3 months, 6 months, 1 year, 2 years

Countries

United States

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026